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Emergency clinicians frequently use diagnostic testing to more confidently exclude \u201cworst\u2010case\u201d diagnoses rather than to determine the most likely etiology for a presenting complaint. Increased utilization of diagnostic testing has not been associated with reductions in disease\u2010related mortality but has led to increased overall healthcare costs and other unintended consequences (e.g., incidental findings requiring further workup, unnecessary exposure to ionizing radiation or potentially nephrotoxic contrast). Shared decision making (\n                    <jats:styled-content style=\"fixed-case\">SDM<\/jats:styled-content>\n                    ) presents an opportunity for clinicians to discuss the benefits and harms associated with diagnostic testing with patients to more closely tailor testing to patient risk. This article introduces the challenges and opportunities associated with incorporating\n                    <jats:styled-content style=\"fixed-case\">SDM<\/jats:styled-content>\n                    into emergency care by summarizing the conclusions of the diagnostic testing group at the 2016 Academic Emergency Medicine Consensus Conference on\n                    <jats:styled-content style=\"fixed-case\">SDM<\/jats:styled-content>\n                    . Three primary domains emerged: 1) characteristics of a condition or test appropriate for\n                    <jats:styled-content style=\"fixed-case\">SDM<\/jats:styled-content>\n                    , 2) critical elements of and potential barriers to\n                    <jats:styled-content style=\"fixed-case\">SDM<\/jats:styled-content>\n                    discussions on diagnostic testing, and 3) financial aspects of\n                    <jats:styled-content style=\"fixed-case\">SDM<\/jats:styled-content>\n                    applied to diagnostic testing. The most critical research questions to improve engagement of patients in their acute care diagnostic decisions were determined by consensus.\n                  <\/jats:p>","DOI":"10.1111\/acem.13050","type":"journal-article","created":{"date-parts":[[2016,7,12]],"date-time":"2016-07-12T09:27:24Z","timestamp":1468315644000},"page":"1354-1361","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["The 2016 Academic Emergency Medicine Consensus Conference, \u201cShared Decision Making in the Emergency Department: Development of a Policy\u2010relevant Patient\u2010centered Research Agenda\u201d Diagnostic Testing Breakout Session Report"],"prefix":"10.1111","volume":"23","author":[{"given":"Tyler W.","family":"Barrett","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Vanderbilt University Medical Center Nashville TN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin L.","family":"Rising","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Thomas Jefferson University Hospital Philadelphia PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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Kennedy","family":"Hall","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine University of Washington Seattle WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Brody","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Wayne State University Detroit MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth W.","family":"Dodd","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Hennepin County Medical Center Minneapolis MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mira","family":"Grieser","sequence":"additional","affiliation":[{"name":"Program Officer, Addressing Disparities Patient\u2010Centered Outcomes Research Institute Washington DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip D.","family":"Levy","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Wayne State University Detroit MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali S.","family":"Raja","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Massachusetts General Hospital and Harvard Medical School Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wesley H.","family":"Self","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Vanderbilt University Medical Center Nashville TN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail","family":"Weingarten","sequence":"additional","affiliation":[{"name":"Patient Representative Philadelphia PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik P.","family":"Hess","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Mayo Clinic Rochester MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judd E.","family":"Hollander","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Thomas Jefferson University Hospital Philadelphia PA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11,25]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200007133430203"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538-7836.2008.02944.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2011.05.020"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1408"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.178"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2012.01374.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(96)00221-3"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.111.964791"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2013.11.019"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2012.01414.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-15-253"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12627"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2001.tb01307.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.07.015"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2016.03.053"},{"key":"e_1_2_6_17_1","unstructured":"American College of Emergency Physicians.Choosing Wisely 2013. 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